Derek's examining the Chief, while the Chief tries to swat him away. It's continuing the theme of men-as-schoolboys we've seen so far. Derek insists he needs to do this to discharge him when Adele's voice asks, "What makes you think he wants to be discharged? Derek, don't you know this hospital will crumble unless Richard is here holding up the walls?" Richard is surprised, as she's supposed to be in the Virgin Islands at that moment, but she counters that he's in trouble for having brain surgery without telling her. Seriously, that's got to rank up there on the all-time omissions list. Is it any wonder this marriage later ran into problems? Richard says he didn't want to worry her. That's...sweet? He wonders how she found out and then realizes that Derek called her. Derek yells back that Richard called Derek's wife, and also points out that the only way he's being allowed home is if someone is there to take care of him. Speak of the devil, Addison pokes her head in the door and says, "I thought I saw a fabulous woman walking by." There's a joyful reunion between the unwanted wives, until Adele happily says she always knew that Addie and Derek would get back together. Addison quickly says she's there on a case, and Derek unceremoniously announces that they're over. Addison says they're not divorced, but Derek says they nearly are. When Adele asks if they had counseling, Derek answers, "We had adultery. That was enough." Awkward! Nothing worse than infidelity talk thrown into a happy reconnecting with friends. Adele maintains that Derek should give Addison a chance, but he just kisses her cheek and leaves. Richard looks properly shamed when Adele turns on him.

The boy on whom Alex is working (who is 18 years old, and I am officially old for calling him a boy) asks if his mom is okay. Alex distractedly tells her he thinks so while he takes x-rays. The boy tells him that his parents had been fighting at breakfast. His mom is also telling the story, but her version is very different. Overlapping each other in their respective hospital rooms, he tells a story of his dad getting angry and running three red lights before getting pissed at another driver and losing his cool, landing them in this horrific crash. His mom tells a much more tepid story about husband/dad Bob just being a bad driver who swerved to avoid something in the road. She also mentions that they were having a lovely morning before it all happened, and begins to cry about his bad liver. The son gets in the last word when he finds out his dad is in critical condition in surgery, and coldly declares, "At least the son of a bitch got what he deserved."